现代仪器与医疗
現代儀器與醫療
현대의기여의료
Modern Instrument and Medical Treatment
2014年
4期
19-22
,共4页
多层螺旋CT%结核性腹膜炎%癌性腹膜炎%影像学特征
多層螺鏇CT%結覈性腹膜炎%癌性腹膜炎%影像學特徵
다층라선CT%결핵성복막염%암성복막염%영상학특정
Multi-slice spiral CT%tuberculous peritonitis%cancerous peritonitis%imaging features
目的：考察MSCT对结核性腹膜炎（TBP）和癌性腹膜炎（CP）的临床诊断价值及这两类腹膜炎的影像学特征差异。方法：以我院2009年3月至2014年2月间收治的25例结核性腹膜炎和39例癌性腹膜炎患者为研究对象，对其经MSCT检查后的影像学数据进行对比分析。结果：TBP组以高密度的腹水、壁层腹膜均匀性增厚、肠系膜污迹样改变、大网膜污迹样增厚伴小结节为典型病理特征，CP组则以大量低密度腹水、壁层腹膜结节、块状增厚样改变、肠系膜污迹样改变、大网膜污迹样增厚伴大结节、块影和饼样改变为典型病理特征，且两组间的影像征象差异有显著统计学差异(P＜0.01)。结论：MSCT可有效检出TBP和CP的典型病理改变，综合壁层腹膜、肠系膜、大网膜等的影像征象差异，可将TBP与CP进行区分和定性确诊。
目的：攷察MSCT對結覈性腹膜炎（TBP）和癌性腹膜炎（CP）的臨床診斷價值及這兩類腹膜炎的影像學特徵差異。方法：以我院2009年3月至2014年2月間收治的25例結覈性腹膜炎和39例癌性腹膜炎患者為研究對象，對其經MSCT檢查後的影像學數據進行對比分析。結果：TBP組以高密度的腹水、壁層腹膜均勻性增厚、腸繫膜汙跡樣改變、大網膜汙跡樣增厚伴小結節為典型病理特徵，CP組則以大量低密度腹水、壁層腹膜結節、塊狀增厚樣改變、腸繫膜汙跡樣改變、大網膜汙跡樣增厚伴大結節、塊影和餅樣改變為典型病理特徵，且兩組間的影像徵象差異有顯著統計學差異(P＜0.01)。結論：MSCT可有效檢齣TBP和CP的典型病理改變，綜閤壁層腹膜、腸繫膜、大網膜等的影像徵象差異，可將TBP與CP進行區分和定性確診。
목적：고찰MSCT대결핵성복막염（TBP）화암성복막염（CP）적림상진단개치급저량류복막염적영상학특정차이。방법：이아원2009년3월지2014년2월간수치적25례결핵성복막염화39례암성복막염환자위연구대상，대기경MSCT검사후적영상학수거진행대비분석。결과：TBP조이고밀도적복수、벽층복막균균성증후、장계막오적양개변、대망막오적양증후반소결절위전형병리특정，CP조칙이대량저밀도복수、벽층복막결절、괴상증후양개변、장계막오적양개변、대망막오적양증후반대결절、괴영화병양개변위전형병리특정，차량조간적영상정상차이유현저통계학차이(P＜0.01)。결론：MSCT가유효검출TBP화CP적전형병리개변，종합벽층복막、장계막、대망막등적영상정상차이，가장TBP여CP진행구분화정성학진。
Objective:To investigate the clinical value of MSCT for tuberculous peritonitis and cancerous peritonitis, and the imaging features of tuberculous peritonitis and cancerous peritonitis, expected to provide a clinical refernce.Methods:25 cases TBP patients and 39 cases CP patients were the objects of this study, which received a detection wit MSCT in our hospital during 2009.03-2014.02, made a comparative analysis about the difference of the imaging data.Results:The typical pathological features of TBP patients such as high -density ascites, parietal peritoneum uniformity thickening, mesenteric stains like change, omental thickening with large stains like nodules, block shadow, and cake -like changes, while the CP patients such as a large number of low-density ascites, parietal peritoneum nodules, lumps like changes thickening, mesenteric stains like change, omental thickening with large stains like nodules, block shadow, and cake -like changes, and the difference was a signiifcant difference (P<0.01).Conclusions:MSCT could effectively detect the typical pathology features of TBP and CP, the TBP and CP could be distinguished and qualitative diagnosed, with consider the imaging difference of parietal peritoneum, mesentery, omentum, et al.
